CASTLE ROCK PEDIATRICS AND FAMILY WELLNESS CENTER
NPI 1770767477
Clinic/Center - Multi-Specialty in Castle Rock, WA

Active since December 18, 2007
139 FIRST AVENUE SW, CASTLE ROCK, WA 98611(360) 274-2353(360) 274-2354 Get Directions Write a Review

NPPES record last updated: November 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Castle Rock Pediatrics And Family Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASTLE ROCK PEDIATRICS AND FAMILY WELLNESS CENTER (NPI 1770767477) is a healthcare organization registered as a multi-specialty in Castle Rock, Washington and active in the NPI registry since December 2007. The organization lists Reinhild Ayoub, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1770767477
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCASTLE ROCK PEDIATRICS AND FAMILY WELLNESS CENTER
Location Address139 FIRST AVENUE SWCastle Rock, WA 98611-0160
Mailing AddressPo Box 160Castle Rock, WA 98611-0160 · (360) 274-2353 · Fax (360) 274-2354
Fax(360) 274-2354
Organization SubpartNo
Authorized OfficialReinhild AyoubOwner/practitioner · (360) 274-2353
Enumeration DateDecember 18, 2007
Last NPPES UpdateNovember 25, 2008
NPI 1770767477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in WA · 601 929 001 11
139 FIRST AVENUE SW, Castle Rock, WA 98611

Other Identifiers 3

Medicaid7094261WA
Medicare PINCH6190WA
Medicare PINGAB23159WA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Castle Rock Pediatrics And Family Wellness Center's NPI number?

The NPI number for Castle Rock Pediatrics And Family Wellness Center is 1770767477. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Castle Rock Pediatrics And Family Wellness Center located?

Castle Rock Pediatrics And Family Wellness Center is located at 139 First Avenue SW, Castle Rock, WA 98611. The listed phone number is (360) 274-2353.

What is Castle Rock Pediatrics And Family Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Castle Rock Pediatrics And Family Wellness Center was last updated on November 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.